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目的明确我国疾病预防控制中心公共职能的落实程度。方法采用分层随机抽样法,在全国范围内抽取161个疾病预防控制中心,调查样本机构公共职能项目开展比例以及开展项目的操作程度。所谓公共职能的落实程度是指样本机构公共职能项目平均开展比例和平均操作程度的乘积。结果(1)样本疾病预防控制中心公共职能项目的平均落实程度为42.9%,其中省级为56.0%,市级为43.7%,县级为41.3%;东部地区为49.3%,中部地区为45.4%,西部地区为35.3%。(2)样本疾病预防控制中心七项公共职能中,疾病预防与控制职能落实程度为54.3%、突发公共卫生事件应急处置为65.8%、疫情报告及健康相关因素信息管理为35.0%、健康危害因素监测与控制为31.3%、实验室检测与评价39.1%、健康教育与健康促进为36.4%、技术指导与应用研究为56.7%。结论我国疾病预防控制中心各项公共职能落实程度普遍不高,并随地区和级别的变化而变化;各项公共职能中,突发公共卫生事件应急处置职能落实程度最高,健康危害因素监测与控制职能落实程度最低。
Objective To clarify the degree of implementation of the public functions of China’s Center for Disease Control and Prevention. Methods A stratified random sampling method was used to collect 161 disease prevention and control centers across the country to investigate the proportion of public function projects in sample institutions and the degree of operation of the project. The degree of implementation of the so-called public function refers to the product of the average proportion of the public function items of the sample organization and the average degree of operation. Results (1) The average implementation degree of public function projects of the sample disease prevention and control center was 42.9%, including 56.0% at the provincial level, 43.7% at the municipal level, 41.3% at the county level, 49.3% in the eastern region, and 45.4% in the central region. The western region is 35.3%. (2) Among the seven public functions of the sample disease prevention and control center, the degree of implementation of the disease prevention and control function was 54.3%, the emergency treatment for public health emergencies was 65.8%, the information on the epidemic report and health-related factors was 35.0%, and the health hazards Factor monitoring and control was 31.3%, laboratory testing and evaluation was 39.1%, health education and health promotion was 36.4%, and technical guidance and applied research was 56.7%. Conclusion The implementation of various public functions of China’s Centers for Disease Control and Prevention is generally not high, and changes with the change of regions and levels; among public functions, the emergency management function of public health emergencies is the highest, and the health hazards are monitored and controlled. The lowest level of implementation of the function.